Road To MRCP

Road To MRCP Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Road To MRCP, Medical and health, Gibson House (1st Floor) Northwest Associates Ltd, 800 High Road, Dhaka.

Revise MRCP P-1 Preparation with 7000 Exclusive Bullets.We are running subscription based Course on:
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11/04/2026

Bullet For MRCP Part-2

✅ Lung Cancer Investigation:
85-year-old smoker with severe COPD and weight loss has lung mass + Poor performance status + On exam: Reduced breath sounds + Investigation shows: 38mm peripheral mass, no nodes + Which of the following is the most appropriate next step in the management of this patient >> CT-guided percutaneous biopsy

✅ Acute Severe Asthma:
23-year-old woman with asthma has worsening wheeze despite back-to-back salbutamol + Speech limited + On exam: RR 32, PEF 40% + Investigation shows: Sats 94% on air + What is the most appropriate next step in the acute management >> IV magnesium sulphate

✅ Adult-Onset Still’s Disease:
36-year-old woman with daily fevers, sore throat, myalgia and salmon-pink rash + Increasing joint stiffness + On exam: Rash during fever + Investigation shows: Ferritin 3200, Neutrophilia + What is the most likely diagnosis >> Adult-onset Still's disease

✅ Toxic Alcohol Ingestion:
47-year-old man found confused and ataxic after handling car antifreeze + Alcohol dependence history + On exam: Slurred speech, normal fundoscopy + Investigation shows: Metabolic acidosis, envelope crystals + What is the most appropriate initial treatment >> Start fomepizole infusion

✅ Supraventricular Tachycardia:
28-year-old woman has sudden palpitations and light-headedness + History of similar episodes + On exam: HR 182, BP 106/68 + Investigation shows: Narrow complex tachycardia + What is the most appropriate initial management for this patient >> Adenosine

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10/04/2026

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10/04/2026

Bullet For MRCP Part-1

✅ Neurology (Stroke Localization):

67-year-old man presents with sudden onset left hemiplegia + On exam: difficulty moving his right eye laterally, right eye cannot abduct past the midline, weakness in the left arm and leg + Investigation shows: N/A + Which of the following is the most likely location of his stroke >> Right pons

✅ Infectious Disease (Paediatric Meningitis):

5-year-old boy and 3-year-old sister + severe diarrhoea (3 days) + On exam: fever, neck stiffness, and altered mental status + Investigation shows: N/A + What is the most likely causative agent of their meningitis >> Listeria monocytogenes

✅ Rheumatology (Orthopaedics):

55-year-old woman presents with a six-month history of right shoulder pain, severe during movement + On exam: limitation of active and passive shoulder rotation + Investigation shows: N/A + What is the most likely diagnosis >> Adhesive capsulitis

✅ Nephrology (AKI Management):
65-year-old man presents with reduced urine output, fatigue, and nausea + On exam: BP 160/95 mmHg, peripheral oedema, bilateral chest crepitations + Investigation shows: Creatinine 450 µmol/L, Potassium 6.2 mmol/L, Peaked T waves on ECG + What is the most appropriate next step in his management >> Arrange for urgent haemodialysis

✅ Gastroenterology (H. pylori Diagnosis):
49-year-old man presents with epigastric pain and dyspepsia (three months) + On exam: No history of NSAID use or melena + Investigation shows: N/A + What is the best initial test to diagnose Helicobacter pylori infection in this patient >> Faecal antigen test

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09/04/2026

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09/04/2026

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08/04/2026

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08/04/2026

Bullet For MRCP Part-1

✅ Cardiology:
67-year-old man presents with worsening shortness of breath and fatigue over three months + On exam: large V wave observed in his JVP, holosystolic murmur heard best at the lower left sternal border + Investigation shows: N/A + What is the most likely underlying cause of his symptoms >> Tricuspid regurgitation

✅ Nephrology (Metabolic):
65-year-old man with congestive heart failure + recent worsening dyspnoea + On exam: signs of volume depletion, taking furosemide + Investigation shows: Hypokalaemia and metabolic alkalosis + What is the most likely cause of this patient’s metabolic alkalosis >> Diuretic therapy

✅ Pharmacology (Rheumatology):
41-year-old woman with rheumatoid arthritis + fatigue, mouth sores, and hair loss + On exam: N/A + Investigation shows: Pancytopenia, taking a new medication for six months + What is the mechanism of action of the most likely drug causing these symptoms >> Dihydrofolate reductase inhibition

✅ Haematology (Transfusion Reaction):
25-year-old woman presents with acute onset chills, fever, back pain, and dark urine shortly after receiving a blood transfusion + On exam: tachycardic and hypotensive + Investigation shows: Haemoglobinuria + What is the most likely cause of her symptoms >> Acute haemolytic transfusion reaction

✅ Genetics (Transplant):
35-year-old woman seeking to donate a kidney to her brother + On exam: N/A + Investigation shows: N/A + What is the probability that she is a complete human leukocyte antigen (HLA) match with her brother >> 25%

08/04/2026

Bullet For MRCP Part-2

✅ Amoebic Liver Abscess:
52-year-old man has fever and RUQ pain after India trip + No past medical history + On exam: Jaundice, tender RUQ + Investigation shows: Hypoechoic liver lesion + What is the most appropriate next step in management >> Begin oral metronidazole and arrange serology for Entamoeba histolytica

✅ Hepatitis E in Pregnancy:
28-year-old pregnant woman has nausea, vomiting and jaundice after barbecue + No medical history + On exam: Jaundiced, stable + Investigation shows: ALT 248, Bilirubin 45 + What is the most likely diagnosis >> Hepatitis E

✅ Iron Deficiency Anaemia Investigation:
78-year-old woman has progressive fatigue, pallor and mild dyspepsia + Anticoagulated for AF + On exam: Pallor + Investigation shows: Hb 9.8, MCV 72, Ferritin 10 + What is the most appropriate next investigation >> Faecal Immunochemical test

✅ Parvovirus B19 Infection:
32-year-old woman with hereditary spherocytosis presents with worsening anaemia + Viral illness history + On exam: Pallor + Investigation shows: Hb 84, Reticulocytes 0.2% + What is the most likely cause of her current anaemia >> Erythroparvovirus B19 infection

07/04/2026

Bullet For MRCP Part-1

✅ Nephrotic Syndrome Cause:
41-year-old man with multiple sexual partners + swelling in his legs and frothy urine (two-week history) + On exam: N/A + Investigation shows: Heavy proteinuria, hypoalbuminaemia, and hyperlipidaemia + What is the most likely underlying cause of his condition >> Hepatitis B infection

✅ Lymphoma Management:
65-year-old woman presents with new-onset fatigue and night sweats + On exam: enlarged, non-tender lymph nodes in her neck and axillae + Investigation shows: Biopsy reveals diffuse large B-cell lymphoma + What is the mechanism of action of Rituximab >> Binding to CD20 positive cells

✅ Respiratory Medicine (Occupational):
65-year-old man with a 30-year history of working in the construction industry + progressive shortness of breath on exertion and a dry cough + On exam: digital clubbing and bibasilar end-inspiratory crackles + Investigation shows: N/A + Which of the following is the most likely diagnosis >> Asbestosis

✅ Dermatology:
34-year-old woman presents with a recurring rash on her left cheek, erythematous, scaly, and sometimes itchy + On exam: Rash gets worse with sun exposure and improves when she stays indoors + Investigation shows: N/A + What is the most likely cause of her symptoms >> Discoid lupus erythematosus

🚀 **CLINICAL CORE-4 FOR PACES**The 4 Systems That Can Define Your Success in PACES!Struggling to organize your PACES pre...
06/04/2026

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🌐 Course link:
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🌏 Join our Facebook Group:
https://www.facebook.com/share/g/17d5HGSsmf/

🔗 WhatsApp Channel:
https://whatsapp.com/channel/0029VabYn3N3LdQOBUpiDo2p

📞 +44 7459 416899
🌐 Website: https://medmonarchy.com

06/04/2026

Bullet For MRCP Part-1

✅ Gastrointestinal Diarrhoea:

64-year-old woman recently discharged from the hospital after antibiotics + watery diarrhoea, abdominal pain, and fever (three-day history) + On exam: N/A + Investigation shows: Stool cultures are negative + What is the most likely diagnosis >> Medication-induced diarrhoea

✅ Neurology (Spinal Root):

48-year-old man presents with sudden onset severe lower back pain radiating to the lateral aspect of his leg and dorsum of his foot + On exam: weakness in foot dorsiflexion, diminished sensation over the first web space + Investigation shows: N/A + Which nerve root is most likely affected >> L5

✅ Cardiology:

67-year-old man presents with worsening shortness of breath and fatigue over three months + On exam: large V wave observed in his JVP, holosystolic murmur heard best at the lower left sternal border + Investigation shows: N/A + What is the most likely underlying cause of his symptoms >> Tricuspid regurgitation

✅ Nephrology (Metabolic):

65-year-old man with congestive heart failure + recent worsening dyspnoea + On exam: signs of volume depletion, taking furosemide + Investigation shows: Hypokalaemia and metabolic alkalosis + What is the most likely cause of this patient’s metabolic alkalosis >> Diuretic therapy

Address

Gibson House (1st Floor) Northwest Associates Ltd, 800 High Road
Dhaka
N170DH

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